Individual
GARY W WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
F2120
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042EJ
BCBS
TX
01
—
080126648
RAIL ROAD
TX
05
—
139811714
—
TX
05
—
139811721
—
TX
05
—
139811722
—
TX
05
—
139811723
—
TX
05
—
139811724
—
TX
01
—
75-0818167-022
TRICARE
TX
01
—
75-0818167-048
TRICARE
TX
01
—
75-2616977
RAIL ROAD
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
8CU714
BCBS
TX
01
—
8M5091
BCBS
TX
01
—
TIN PLUS 005
TRICARE
TX
01
—
TIN PLUS 015
TRICARE TYLER LOCATION
TX
01
—
TIN PLUS 044
TRICARE WINNSBORO LOCATION
TX
Enumeration date
06/12/2006
Last updated
03/16/2015
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